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-, <br />iiiniiiiiiui <br /> <br />Permittee Name: Nickolaus Arnusch <br />Permit No: M-81-287 <br />Operation Name: Arnusch Grav Pit 3 <br />Anniversary Date: 02/25/88 <br />d ~ ~ ~ 110 Enclosure <br />FE8 231988 <br />MINED LAND <br />G~ECLAMATION t71VIS1ON <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />En1clo/sed are: (Check space(s) below) <br />V Check or money order payable to Colorado Mined Land Reclamation <br />_- _ -- Division fer-annual Fees-dce----- --- - -- <br />Y/ Annual Report <br />Remarks: <br />Signature <br />(Rev. 02/87) <br />5257E <br />'~~. <br />ti <br />